Individual
DR. JESUS RICARDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6375 E TANQUE VERDE RD, SUITE 30, TUCSON, AZ 85715-3852
(520) 886-8090
(520) 886-8274
Mailing address
6375 E TANQUE VERDE RD, SUITE 30, TUCSON, AZ 85715-3852
(520) 886-8090
(520) 886-8274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4903
AZ
Other
Enumeration date
06/30/2005
Last updated
07/29/2015
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